Organization
CENTRAL CAROLINA LACTATION CONSULTANT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA SHOPTAW BSN RN IBCLC (LACTATION CONSULTANT)
(336) 493-8829
Entity
Organization
Contact information
Practice address
5374 TIMBER TRL, RANDLEMAN, NC 27317-8293
(336) 633-9433
Mailing address
5374 TIMBER TRL, RANDLEMAN, NC 27317-8293
(336) 633-9433
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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